NPI | 1821421009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSB34360) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB33993) |
Enumeration Date | 2013-08-12 |
Last Update Date | 2013-08-12 |